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damnnnnn!! I love all that activity! how do you fit it into your day?! I sometimes have to do weights in the morning before work, run home get me and the kids ready and all the things then run on my lunch just to get my 60 min of working out in lol! most of the time I do everything in one shot but there are times where the day just doesn't allow me. lol Rock climbing sounds rad! That has got to be one of hellova a shoulder, tricep and bicep workout!

Hi every one I am new here I had my surgery on October 24,2023 my date of surgery weight was 322 and I am currently 198.6 which at times I can not believe how much I have lost but at other times when I am in a stall I feel like it goes so slow even though I am grateful the way my body looks or the way I see myself in the mirror places tricks in my head I also want to know how you guys stay consistent with working out and eating healthy all the time because now at almost a year out I am scared from all the weight gain stories and I am scared because now I eat a little more than before and I just want to go back and I am so scared. My nutritionist suggested this app and so far I love reading everybody story.

Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about.

It seems to be all carbs that give me trouble, although "bad" carbs make me sick almost immediately. My body went from constantly craving carbs to seemingly not being able to process them anymore. It's really weird. And frankly, annoying. And I agree, a few of my doctors are seeing numbers on the scale and bmi and not me as a person and my overall progress. I've lost 246 pounds from my highest weight. And 213 pounds from my original surgery weight. And that still doesn't seem like it's good enough!!! My current weight is lower than some other people's final ending goal weight. THEIR doctor's are ok with that, yet MINE seem to think I need to lose more, more, MORE!!! This is how people fall into disordered thinking and eating. I'm trying very hard for that NOT to happen to me again, and this is not helping. Also, yes I have started adding a Chobani Complete liquid Greek yogurt to my snacks. They have 20g of protein, 15g of carbs, and 180 calories per serving. I've got myself up to 40 carbs per day with that (without working out) and seem to be doing ok, so I'm going to go up to 45 carbs daily without working out (that's where I was at but with workouts) and then sloooowly try to increase from there and see if I can. My body just really resists carbs, so it's really slow going.

It’s like they are only seeing numbers and scales and recommended weights for heights blah, blah, blah but not the actual person at the bottom of it all. I’m not surprised that you’re pissed, to be fair, I would be too. Carbs - is it all carbs that give you grief regardless of where they come from or specific types like bread, flour, potatoes etc? If it’s all types then it’s a very slow process of getting some in to your body and finding the balance. If it’s certain types then it’s looking at what you can manage and again, slowly building up until you find your balance and a weight that’s working for YOU, not the medical staff. Did you find some good quality fats that you were happy with? Have you skipped the low fat/calorie foods and introduced some higher fat/calorie replacements? You have come so far and done so amazingly well. At the end of it all, it’s YOUR body, YOUR health and YOUR wellbeing, no one else’s. Have you thought about some of the liquid meal-replacement type options that you would give someone if they were ill? Just something that might give you a bit of a boost on top of your iron infusion? Big hugs 🤗

I love to see what people typically eat in a day. I am 8.5 months post op. I've trying to maintain but still losing (eating around 1300 calories a day). Working out 4/5 times a week. Pilates, weight training, walking/jogging and some plyos for cardio. A typical day would be: Pre-breakfast: an oat milk flat white (I can't have anything before my coffee). Breakfast (mind you, was never a breakfast eater before but now I need to eat in the late morning otherwise I feel famished): 1 protein toast with lite cheese, 3 turkey breast slices OR 1 egg and 1 egg white omlette OR light halloumi, with some light mayo/pesto, lettuce and jalapenos. Some days I can eat that in one sitting, some days I need an hour to finish this portion. Snack 1: Fruit, Novo protein chips and a zero iced tea (over the course of 2 hours) Lunch: A chicken salad with baby spinach/arugula, cucumbers, bell peppers, pomegranate seeds and feta cheese. No dressing. Snack 2: 5 sugar free chocolate almonds OR a square of 80% dark chocolate. Occasionally another oat flat white Snack 3: a handful of roasted almonds or cashews Dinner: I eat the exact same food pre WLS and what I make for the family sans the carbs most of the time. our dinners are usually elaborate. Protein and Veg so smash burgers (I wrap mine with lettuce but sneak one or two sweet potato fries), Big mac tacos (I use mission low carb mini tortillas), Marry me chicken, steaks, salmon poke bowls, Thai spicy basil chicken, ceviche, stuffed poussins, enchiladas (low carb), soy glazed chicken, etc... it's different every day. Dessert: Chocolate protein ball, or any other healthy dessert I've made (protein cheesecake, protein brownies) My portions are very small though, and it feels I'm eating all day. On weekends I surprisingly eat less, skip breakfast and go longer hours between my meals, but I do eat out and have a little fun with carbs (sushi, noodles, a little bread).

So now I'm just PI$$ed!!!! I've been working with the fairly useless nutritionist to try and gain weight...as you know. Well the nurse practitioner from the surgeon's office called today because they want me to schedule iron infusions (I knew that was coming) and she said I should schedule an appointment to see her because the nutritionist mentioned I'm trying to gain weight and she's confused by that because I'm only barely out of the obese category and I still have more to go before I should be looking at maintaining, nevermind gaining anything. Ok...WHAT??!?! I told her I don't want to lose more because I was already below where I want to be and I'm not feeling great and she said I just need to add muscle. She said I'm losing muscle as well as fat and I need to start eating and doing work outs that promote bulking up to try and gain the muscle back. She said that will actually help me tone up and I'll lose more weight. I asked her how, since muscle weighs more than fat, and she said because I'll still be losing fat while I'm gaining muscle, but I'll also be toning up. She wants me to drop another 20-25 pounds and then add 5-10 back on in muscle. I told her there's absolutely no way that will happen because I don't have the time, energy, stamina, or strength to do it. And do you know what this heifer said???? She said "Well, you can let it slide if you want, but you didn't come this far just to come this far, did you? You're so close to the finish line. Let me help you finish strong." I literally LOST IT. I said "LADY, I FINISHED STRONG 15 POUNDS AGO!!! Since when do you get to decide what our goal weight is? I moved my goal weight twice. First it was 200, then it was 195, then it was 190. I was happy then, and now my body won't stop. I want it to stop. You're the OPPOSITE of helpful." I've never wanted to slap the taste out of someone so bad in my LIFE!!!!

I definitely will post on here my thoughts on the HOKA brand. My husband just had the greatest idea to use bowling shoe covers so I can wear them around for more than a second without getting the bottoms too dirty. Especially since I am 3 weeks post op today and my husband wears his shoes in the house all the time 😩 I have swept the floors a few times but I know from looking at my socks that’s definitely not enough. Ooh and a lady in my in person support group also suggested that brand. She is a year out from sleeve and walks 5 miles a day at least and she likes them. The ones that they recommend for walking on their site says “everyday running/ walking”. I know some people wear running shoes for walking and it’s fine but one article I read said that running specific shoes are designed to be lighter in weight so they have far less padding. It’s fine for short amounts of time they say but for long distances they are not the best choice.

Anxiety is so normal, but don't let it get in the way of what will almost certainly be one of the best things you ever do for yourself. My suggestion over the next few days is to look at the thread of before and after photos to help remind yourself of why you're doing this. I had my surgery 6 months ago and a lot of my experience was similar to GreenTealael's, except I was given a sedative before being wheeled to the OR, and all I remember was being pushed toward the hallway. Next thing I knew, I was in my hospital room. The pain was very minimal and the nurses were so attentive. It turned out I had been in the OR for a lot longer than planned because of some scarring in my abdomen that caused a few minor complications, but I had no memory of that and it hasn't been a problem. I was in good hands the whole time. The first few weeks will be an adjustment, but after that, you'll start getting the hang of your new lifestyle. If you've canceled before only to be back 3 years later to do it, you know this is something you need. A year ago, I weighed over 250 lbs and could barely squeeze into a size 22. Today, I'm the lowest weight I've been in 30 years and I was actually able to put on a pair of my 12-year-old daughter's size medium pants (stretchy ones, but still...). It's an amazing feeling.

The way I had it explained to me is that they take my pre-op weight away from what my weight would be if I had a BMI of 25. My target is to lose around 65-70% of that excess weight, NOT my total body weight. I don’t know if that’s any where near your figures?

I wear the slip on skechers! I weight lift, run, walk, stair step all the things in them and they are great! I am thinking of trying Hoka or Brooks but those are an investment lol

I cleaned my house 2x the night before surgery. Then I decided to just stay up and watch a bunch of movies and listen to music. I never slept. Looking back, I was very anxious. Likely of the unknown. So here’s what happened the morning of my surgery: I drove to the hospital, parked and checked in. I was given a clipboard with tons of paperwork to fill out. There was a lot. I was give a scannable wristband to confirm my identity. I talked with the person who came with me trying to keep my mind off of what was happening. We talked about a lot of random things, but mostly what I was doing the next month. That helped me to believe that there was a future beyond the surgery. The nurse called me in. I gave her a the clipboard and was asked to verify my info. My wrist band was scanned. She measured my weight asked me to give a urine sample. I brought back to a room and given the preop gown to change into a bag for all the things I brought with me. My companion was also allowed in this room. The nurse asked me to confirm name and my date of birth and scanned the wrist band. She measured my blood pressure O2 levels and started an IV line with saline. Next in was the anesthesiologist. I once again confirmed my info and was asked questions previous responses to anesthesia. Since this was my first surgery with general anesthesia I asked what it felt like and he it explained everything very well. The surgeon came in and once again I gave my info but this time he asked me to verify what surgery I having. He asked if I had any questions or concerns I did not. Last person to come in was the nurse who is brought back to the OR. This is where it began to get real for me I was a little nervous. When I rolled into the OR everyone was clapping like it was a party and they were congratulating me in advance. It was pretty special. One by one they introduced themselves and their positions. I was moved from one bed to another. Then the dance to hook me up to cardiac monitors and other devices began. I was giving instructions on how to move which way to roll and everything that they were going to do before it happens. I was never left in the dark. When anesthesiologist came in I was hooked up to the IV he explain what would be administered. The oxygen mask went on and I was told to count backwards from 10 to 1. I didn’t get very far. I felt extremely tired, blinking a few times before drifting off to sleep. This was a dreamless sleep that felt like only a few minutes when I began to awake in the recovery room. I asked no one in particular if the surgery happened. I drifted in and out of sleep for a while. When I finally woke up I was in the hospital room, I would stay until I went home. I Hope that helps!

Heya! I think it is so normal to have nerves. I know I was an absolute bundle of anxiety pre-op - it was the first surgery I had as an adult, and I didn't know what to expect. Just keep reminding yourself that you are in safe hands, you will have a professional team around you, and the surgery you are having is safe, otherwise they wouldn't be doing it! My advice is to just focus on how you will feel after - maybe write down what you are looking forward to post-op, and what things you are excited to experience as you start losing weight on this journey. That really helped me focus on the reasons why I did the surgery, rather than the fear of the surgery itself. Because in the grand scheme of things, the surgery is over so quickly and is such a small part of the journey, and it is all worth it! Best of luck

You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck!

Well, today I go for my first post-op appointment. Thinking I may be on a liquid diet just a little bit longer. I met my fluid and protein goals on Monday, but then yesterday I did not because I was so sick I was in bed for literally the majority of the day. We'll see what happens. I think I may have gotten overheated because we went out yesterday morning so that I could get a haircut after my husband's doctor's appointment, and while he was in his appointment I did walking laps around the parking lot. And we have a heat wave striking again. But we'll see what happens. I'll try to post an update after I get home from that. Oh, I did remove the CGM sensor that had blisters forming around it. Well, they also formed under it. And... it wasn't pleasant. I essentially have a large hole in my arm now from where it took quite a bit of skin with it. I have also had an uptick in pain the last few days. I had taken myself off my pain meds completely, but I've had to take one a day since Sunday. I'll be discussing that with the doctor today too. Has anyone else experienced that? Also, real talk - Cottage cheese has always disgusted me because of how it looks. So someone please tell me what it tastes like, since I'm probably going to have to learn to like it. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @ShoppGirl I am allowed to use milks (lactose intolerant so non-dairy milks). I've just been adding water to the one shake because it's super thick. Like, imagine drinking a milkshake through a tiny straw. That kind of thick. I'm less worried about protein on that one because it's 32g per bottle. I just have to be able to drink it for it to matter lol. I am sooooooo sorry about your a/c. I can't stand heat and I would probably be living in a hotel if ours went out right now. But I do know what you mean. I can't do much of anything right now still. I've been pushing myself to at least do dishes when I can, but even that is a bit much for me sometimes. But we're gonna get over this hump and then we're going to get our houses back in order! I do hope your a/c is fixed quickly and cheaply. Update - Glad to see your a/c just randomly decided to start working again. Any chance that the outside unit had frozen? Splenda is a Godsend, honestly. I've had to be on it for years already with my diabetes. I was told I could use any artificial sweetner as long as I didn't go overboard with it. So that is good to know for when I start the puree stage! I'm curious to see how much my taste buds have changed since surgery. I know a couple of people who can't stand even the smell of eggs now. I really hope that's not me. I love me some eggs. I was also told post-surgery, fish is going to be a go-to meal once I can get there. Like at least once a week, kind of thing. As someone who used to work for an allergist - the prick test is just for contact items, like fur and dust. If you are concerned about food allergies, that would be a multitude of appointments for each one you ares scared of. Because they have you actually eat the food while you are there in the office, and then you have to sit there and wait to see if you have a reaction. "It's just me and my hubby and if it bothers him then he is perfectly capable of doing it himself." This, 100000000%. lol. Hubby has asked me what I'm cooking for lunch/dinner, and I just stare at him for a long few seconds before it clicks what he just asked me to do. Then he's like, "Oh, nevermind." I do need to be better about limiting my bending and such. I'm obeying the weight guidelines, but I'm also of the opinion that if I can do something, I should do something. My husband has a stressful job (911 dispatcher) with crazy hours. And he has taken over a lot of the things that I was doing pre-surgery. So I feel like I have to do what I can to help him out too. I've been on Pinterest a lot lately, saving recipes for me to try later on. I am going to probably have a fight with my husband on certain things - like ground turkey for tacos, I already know he isn't going to be on board with. But that might be a thing where I make my food ahead of time and am like, "Okay, this is what I'm having on this night. If you don't like it, you're on your own to figure out food." But that skinny scampi sounds like it might be delicious! You'll have to let us know! I hope the eye appointment wasn't too terrible for you. Kudos to you on making plans for a healthy rest of your life. I need to really sit down and start figuring that out myself. My fear is that I work 3 jobs. While I'm off for 2 months for 2 of them, I worry that any kind of set schedule I make for myself now will get thrown out the window when those get added back. Right now, I'm trying to walk in the mornings before the heat gets too bad. And I have a cycle machine that fits under my desk, so I use that throughout the day. Once they let me, I definitely need to figure out how to get some weight training in. I'm still pulling sticky stuff off of me after multiple showers. It's not just you. This stuff just doesn't want to go away, which was good for surgery. But now it needs to go. LOL I definitely do not like the sleeping the majority of my day and night away because it's preventing me from having a schedule. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Onemealplan You said you can only eat 2oz of food every 3 hours. Are you meeting your protein goals with that? My nutritionist said that even at the puree and soft food stage, I'm expected to supplement my protein goals with protein shakes still. I'm still in the liquid stage, but it takes me an hour to finish an 11oz protein shake. I have yet to feel 'full' but I do know when I've pushed too far because I start to feel kind of sick. The lack of feeling full terrifies me, honestly. Which, I know it's just my anxiety but at the same time I'm like, "What if I have already screwed my stomach up because I didn't feel full????" Hopefully I get some reassurance today at the post-op. But I do get that mental hunger thing. It's been particularly bad lately because I just want SOMETHING that isn't liquids. Hopefully as I progress, I can start kicking that to the curb. I have a vacation coming up in October that I'm trying to prepare myself for. I should hopefully be on soft foods by then. As for the servers, one of the audiobooks I listened to in order to prepare for surgery suggested heading that off immediately. Just telling them up front you recently had a surgery so you will not be able to eat while you are recovering. One of my husband's coworkers who had the RYGB just orders water when he goes out with his husband. Sometimes he'll sip on it, sometimes he just leaves it sitting there. All depends on when he last had a protein shake. They offered you a surgery video? I haven't heard that. I would be interested in watching it if that's an option for me, but it may not be. How big of bites are you taking at this point? I'm just curious so I can start mentally planning for that vacation in a couple of months. (Man, am I so ready for a vacation, even with the dietary changes.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Pepper_No_Salt I've also had extreme fatigue. If I was dishes, I'm having to rest for an hour. I'm not doing anything more than that right now because I just physically can't handle it. But yeah, there are lots of long naps during my daytime, which is also affecting my abilitiy to get fluids and protein in. Glad to hear that you've gotten better! I know yesterday was a bad day for me out of nowhere. I'm blaming heat, but I don't actually know what the problem was. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @RRenaeL23 and @Pepper_No_Salt - Good luck at your next appointments! I hope you do get moved up to pureed foods! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Hiddenroses Interesting! I was told they would not move me on to the pureed foods until I was regularly hitting 60g of protein daily. They said nothing about whether or not I was active. I'll be curious to see what is said when I go to my post-op today. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Meme Campbell I hope your surgery went fantastically and you are recovering well! I know that liquid stage sucks, but it's for a good reason. Just keep reminding yourself of that.

it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery.

I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make.

Slightly off topic but I had to buy period underwear yesterday only because I’m about to have a hysterectomy. It was weird and I had to do a bit of reading (I’m a researcher) about the period pants because they didn’t have them back in my day (that makes me sound ancient lol but have been menopausal for 8 years or so). Also thought I should buy a pack of pads too just in case the surgeon prefers they’re used post surgery. OMG I didn’t know where to start. Couldn’t remember the brand I used to prefer and they’re are thousands of options now. Good Lord! The oestrogen flush is very common after surgery @Dchonlee and can persist until you’ve lost most of the weight you have to lose (which I know you’re nearing) but maybe get your hormone levels checked to see what they are.

I agree with @NickelChip, you’re not a failure. Not just from a statistical perspective but also from the perspective that you lost weight & kept it off for a while. That in itself is a success because we know how hard it is to lose any weight at all let alone keep it off for anything more than a week. Yes, there has been some discussion around the long term effectiveness of the sleeve but I think it could be said of any of the surgeries - it may work for some but not all. And what sometimes defines as a success may differ too. Too many external and internal factors can affect how successful you are in the short & long term too. I had my surgery when I was almost 54 because peri menopause & then menopause did a number on me & my weight. Quickly pushed me to my usual high weight then I swear overnight, to my all time high of 91kg, (Hormones are the gift that just keep giving whether you’re producing what you need or your production is decreasing as you near &/or are in menopause.). So yes, being in peri menopause or menopause could mess with your weight. I’d get in touch with your surgeon and ask him about a revision, GLP-1 meds and any other options. The fact you are ready & want to do something is such a positive position to be in. All the best.

When I buy mine, which is rarely Lol!, I usually go to Foot Lockyer as they do the assessment on your feet and recommend the best to suit your needs. Like I tend to pronate & get shin splints pretty easily & I only use them for walking. I had Brooks a few years ago which I liked though the last pair I bought are a different brand (has an A logo but I can’t recall what brand). My foot was smaller & narrower because of the weight loss which also influenced what brand was best too.

I wanted to pop in and say life literally got better the next day. I don’t know what was going on Sunday but I was absolutely miserable. Monday was a different story. I’ve learned that I’m okay with straws. This made me so happy because I get an ick from drinking out of cups. It’s made my water intake so much easier. Yesterday I got a smoothie from Smoothie King and it was like the sun came out lol. Ive also been able to tolerate the Oikos Triple Zero. I weight everything and can eat about 3oz before I start getting the burps. Each day it gets better. I’ve gotten a bit more energy which is nice. Thursday I should get advanced to purée/soft foods!

I am only 3 weeks post surgery but I am hoping that the weight loss will allow me to handle the heat a bit better and I can get out and walk some around the neighborhood. I need some good sneakers for walking though. Any suggestions.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

Hi, I just had a four year surgiversary yesterday. In the first two years I made it down to 185-187 from 252. I did the calculations, and that was only about 25%-26% of my body weight lost. Doing the research, I've found that anything less than a 50% weight loss in the first two is generally considered failure. I maintained around 185-190 for over a year, and then gained 20 pounds seemingly overnight without changing much--we all have our lapses, but this was not enough to explain a 20-pound weight gain. Also, I am approaching The Change, so maybe this is part of that. All I know is I'm frustrated, and I'm not even sure that my initial surgery was successful. I guess I'm asking what other members of The Order Of The Sleeve who got sleeved at late 40s-early 50s have experienced. I plan to talk to my PCP, but what do you think? Should I consider revision based on the initial results? Would it even be worth doing at this point?

A very nice and great compliment! Nothing backhanded at all! Take it and run! I've never been good at compliments either when I was thin or now as I lose the weight, I think we all have issues with it! You deserve the smile😃